fb88Care Notice of Agency Waiver Amendment, fb88Care Benefits Manual, Section 18, Home and Community Based Services for Members with Brain Injury

The Division of Policy posts all proposed and recently adopted rules on fb88Care’s Policy and Rules webpage.Ìý This website keeps the proposed rules on file until they are finalized and until the Secretary of State website is updated to reflect the changes.Ìý The fb88Care Benefits Manual is available on-line at the Secretary of State’s website.Ìý

Below, please find a fb88Care Notice of Agency Waiver Amendment. You can access the complete details at http://www.maine.gov/dhhs/oms/rules/index.shtml.

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Notice of Agency Waiver Amendment

AGENCY:Ìý Department of Health and Human Services, fb88Care Services

RULE TITLE OR SUBJECT: Chapter 101, fb88Care Benefits Manual, Section 18, Home and Community Based Services for Members with Brain Injury

WAIVER: ME.1082, Home and Community Based Services for Members with Brain Injury Waiver

CONCISE SUMMARY: The Department plans to submit an amendment to the Section 18, Home and Community Based Services (HCBS) for Members with Brain Injury HCBS 1915(c) waiver application.Ìý This waiver amendment adjusts funding and rates to reflect the elimination of health care services from the fb88 State Service Provider Tax in accordance with 36 M.R.S. § 2552, effective January 1, 2025.

Effective January 1, 2025, Section 18 services for which the Department has documentation that the cost of the current 6% fb88 State Service Provider Tax (SPT) (36 M.R.S. § 2552) has been built into the rates will receive a corresponding 6% rate reduction to comply with PL 2023, ch 412, An Act Making Unified Appropriations and Allocations from the General Fund and Other Funds for the Expenditures of State Government and Changing Certain Provisions of the Law Necessary to the Proper Operations of State Government for the Fiscal Years Ending June 30, 2023, June 30, 2024 and June 30, 2025.

The impacted services and corresponding codes in Section 18 are:

Procedure Code

Modifier

Description

T2015

U9

Career Planning, per Hour

T2019

U9

Employment Specialist, 15 Min

T2016

U9

Home Support Level II, 2-4 Beds, per Diem

T2016

U9, TT

Home Support Level II, 5-8 Beds per Diem

T2017

U9

Home Support, 15 Min

T2017

U9, U6

Home Support, Self-directed, 15 Min

T2017

U9, QC

Remote Monitor Only Home Support, 15 Min

T2017

U9, GT

Remote Interactive Home Support, 15 Min

S5102

U9

Clubhouse, per Diem

H2023

U9

Work Support, 15 Min

Ìý

Please see the accompanying draft application for a complete list of all proposed changes included in the waiver amendment.Ìý

DHHS is accepting comments through 11:59 pm, October 11, 2024. Any interested party may obtain a copy of the waiver amendment by going to the website noted below or at any regional Office for Family Independence (a list of the offices and locations can be found at this link ).

A printed copy may be obtained by calling Lisa Weaver at (207) 624-4050 or emailing:lisa.weaver@maine.gov.

See for waiver amendment and to submit comments.

STATUTORY AUTHORITY:Ìý ÌýÌýÌýÌýÌýÌýÌýÌýÌýÌý 42 CFR §441.304

DEADLINE FOR COMMENTS: ÌýÌýÌý Ìý Comments must be received by 11:59 pm, October 11, 2024.

AGENCY CONTACT PERSON:ÌýÌýÌýÌýÌýÌýÌý Heather Bingelis, Comprehensive Health Planner II

AGENCY NAME:ÌýÌýÌý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìýfb88Care Services

ADDRESS:ÌýÌý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý109 Capitol Street, 11 State House Station

Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý ÌýAugusta, fb88 04333-0011

ÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýHeather.bingelis@maine.gov

TELEPHONE: ÌýÌýÌý207-624-4951 FAX: (207) 287-1864 TTY: 711